Does Optum Insurance Cover Mental Health Services
Yes, depending on your insurance provider, Optums network of healthcare providers may be able to cover mental health services. These services include individual therapy coverage within their provider network. However, Optum plans do not cover out-of-network therapy. Therefore, if you visit a therapist who is not part of the Optum network, you will be responsible for the entire cost.1
In addition, as a subsidiary of UnitedHealth Group, Optum plans offer access to UnitedHealth Cares Live and Work Well resources. Live and Work Well resources include educational material on mental health conditions, fitness and wellness, and important therapy coverage information for your Optum plan.2
Medicare Plans: Kaiser Senior Advantage Uc High Option Supplement Uc Medicare Ppo Uc Medicare Ppo Without Prescription Drugs Uc Medicare Choice
UC High Option Supplement to Medicare, UC Medicare PPO, UC Medicare PPO without prescription drugs
Behavioral health benefits are provided by Medicare and by Anthem Blue Cross. Members are covered for outpatient services not covered by Medicare from all in- and out-of-network licensed behavioral health providers, including psychiatrists, psychologists, MFTs and MFCCs. Please check with your provider to be sure they are available under this plan.
UC Medicare Choice
The plan provides coverage for mental health services provided by a state-licensed psychiatrist or doctor, clinical psychologist, clinical social worker, clinical nurse specialist, nurse practitioner, physician assistant, state-licensed Marriage and Family Therapists and Marriage, Family, and Child Counselors and other Medicare-qualified mental health care professional as allowed under applicable state laws. Both individual and group therapy sessions are covered for a $20 copayment per session.
Inpatient services are also covered.
Optum Idaho Behavioral Health Plan
The Coronavirus outbreak continues to be an evolving situation nationally as well as in Idaho. Optum Idaho is working closely with the Idaho Department of Health and Welfare to monitor the situation. The health and safety of our members and providers is a top priority for Optum Idaho. In order to be able to offer uninterrupted care for our members, providers may temporarily offer services via Telemental Health until further notice. If your office cannot deliver services via Telemental Health, or a member cannot receive services via Telemental Health you may temporarily offer services telephonically until further notice. This allowance applies to all provider types . Per Optum Idaho service requirements, providers still need to be qualified to deliver the service they are offering regardless of the method . for the latest information regarding Optum’s telehealth policies. Visit the Alerts & Announcements page to see full details. Since this is an evolving situation, Optum Idaho requests that you check your provider alerts often for the latest information and guidance. to view a list of Frequently Asked Questions regarding Telemental Health and Telephonic Services during this COVID-19 emergency.
Read Also: Continuing Education For Mental Health Professionals
What Types Of Mental Health Services May Be Covered
Coverage for mental health care services depends on your health plan benefits. You can account or call the number on your member ID card to determine if you may be eligible for specific mental health care services. Some of our programs may include an Employee Assistance Program , virtual visits or other health and well-being resources.
View Or Share Your Personal Health Information
We are here to help you find and access services and providers. We are also here to help you understand your benefits and rights as a program member. You can see your personal health information using a smartphone app on a desktop, laptop or tablet computer.
The Optum member portal lets you choose which apps can show your information and lets you bring your information from your old plan to Optum. To view available apps or share your personal health information, click View or Share My Personal Health Information.
- FAQs
This symbol indicates that a new window will open and that you are leaving our website. The website links are for informational purposes only.
Information about COVID-19 changes daily. Please visit the following sites for additional information:
Recommended Reading: Mindfulness Breathing Exercises For Anxiety
Important Notice For Location Search:
Provider information contained in this directory is updated weekly at a minimum, but may have changed since the last update.
Some benefit plans require prior approval for outpatient services.
- Use the number on the back of your insurance card to confirm benefits and authorization requirements.
For members outside of California
Please check with your provider before scheduling your appointment or receiving services to confirm that the provider is participating in our network.Reporting Inaccuracies:Members may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the Report Invalid Info button found on the Providers detail page, calling 1-800-557-5745, or emailing provider_feedback@optum.com
Illinois Only: For IL provider demographic inaccuracies, you may also contact the IL Office of Consumer Health Insurance at 1-877-527-9431
For California Residents
Reporting inaccuracies:California residents may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the “Report Invalid Info” button found on the Provider’s detail page, calling 1-800-999-9585, or emailing provider_feedback@optum.com
For Florida Residents
Welcome To The Behavioral Health Provider Home Page
Login or register withIncedo Provider Portal, an online tool that allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. Incedo Provider Portal is easy to use, secure and available 24/7.
Our mission and values guide the way we treat our providers, members and each other. They are at the heart of all we do.
We welcome your continued commitment to the Maryland network and encourage new providers to join us in our mission to help people live their lives to the fullest potential.
Optum provides clinical staff coverage 24 hours/day, 7 days/week, 365 days/year to respond to all member and provider calls, including emergent, urgent and routine calls.
On this page you will find a wealth of information developed specifically for you, which includes our Incedo Provider Portal platform where you can enter authorization for services, claims and more. The Provider Manual is where you will find important information about the services offered in Maryland. The Provider Alerts are important updates from Optum and the Department. Below are a just a few of the important documents that will assist you as a behavioral health provider. More information and resources can be found throughout the website.
Don’t Miss: Mental Illness Interfering With Work
The Following Services Covered Through The Medi
- Inpatient Psychiatric Hospitalization: Treating hospital please call Optum for authorization at 1-800-798-2254, Option 3.
- Long Term Care: Pre-authorization is required. Treating hospital to request authorization on the clients behalf by calling Optum at 1-800-798-2254, Option 6.
- Outpatient Specialty Mental Health Services: For referrals, please contact the San Diego Access and Crisis Line, 1-888-724-7240. Providers to request authorization on the clients behalf by submitting Outpatient Authorization Request.
If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.
How To Find Mental Health Services Near Me In Tennessee
Thanks to Athena Care, finding mental health specialists and gaining access to a mental health clinic in Tennessee has never been easier. A care coordinator will assist you at one of our various Tennessee clinics, open Monday through Friday, 7:00 a.m. to 6:00 p.m.
When choosing Optum behavioral health providers, its important to ask questions and keep the following in mind:
- Education, training, license, and years of experience
- Specialties and services offered
- Insurance companies they work with
Youll find a list of practitioners organized by city, along with information about their backgrounds and specialties Here.
Recommended Reading: Mental Health Day Off Law
How Much Do Mental Health Services & Testing Cost
Costs can vary depending on your insurance coverage and personalized treatment needs. The following are average costs for therapy, though they may vary by location and other variables and may not reflect the actual cost of treatment or what you may pay.
For example, In the United States, the typical cost of psychotherapy ranges from $100 to $20012 a session, dependent upon the state and the length of the session. Youll most likely have a co-pay that can range from a few dollars to $50 or more a session with health insurance.
Cognitive Behavioral Therapy sessions are typically 45+ minutes long and cost between $100 and $200 per session, while Dialectical Behavioral Therapy usually consists of a weekly individual therapy session, a weekly group therapy session, and weekly phone conversations. DBT costs vary depending on the type of services rendered.
Whether the therapist is in-network or out of network can influence this out-of-pocket cost.
Even with insurance, you will normally have to pay some or all of your medical expenditures until your total medical expenses reach the deductible. Then, depending on your plan, you may be required to pay a co-pay or coinsurance for each treatment.
Some therapists will work with patients on a sliding scale for those who do not present insurance. If you find a therapist who offers a sliding scale payment plan, they will most likely base the cost of your sessions on your income. This sliding scale can also vary from therapist to therapist.
How Do I Find A Therapist In California Who Offers In
Find a therapist who offers in-person sessions on Zencare. Many therapists inCalifornia have resumed offering in-person sessions you can filter by In-Person to find a provider who is accepting new clients for in-office sessions. You can also search by map to find providers in California near you. While some clients prefer in-person sessions because they offer a safe, neutral ground for the session to take place, for the widest range of therapist options, consider expanding your search to also include providers licensed in your state who offer telehealth, or therapy sessions via remote video call.
Read Also: Mental Health Awareness In Schools
What Kinds Of Mental Health Providers Are Available In California
There are many different kinds of mental health providers available in California, including psychologists, clinical social workers, and mental health counselors. As long as the provider is licensed in your state, the factor that matters most to therapy outcomes is the therapeutic alliance, or the relationship you build with your therapist. Common types of therapy provided in California include cognitive therapies, like Cognitive Behavioral Therapy and Dialectical Behavior Therapy , and insight-oriented therapies like psychodynamic therapy. Other providers offer a blend of techniques for a more interpersonal, holistic approach. Some mental health therapists in California also offer specialized treatment services, like couples therapy, premarital counseling, and family therapy. While most California providers are qualified to treat general challenges, like depression, anxiety disorders, trauma, relationship difficulties, and low self-esteem, for concerns such as substance abuse, personality disorders, and eating disorders, consider seeking expert care. Together with your therapist, youll build a treatment plan that addresses your reasons for seeking therapy and monitor progress toward your wellness goals and overall well being.
Ppo Plans: Core Uc Care Uc Health Savings Plan
Behavioral health and substance abuse coverage are provided by Anthem Blue Cross.
Benefits are included in your medical plan premium. Charges for routine office or telemental health visits vary by plan and provider type, and some services require preauthorization. For information about your benefits and help finding an in-network provider, call Anthem at 844-437-0486.
UC Care
UC Care members have access to Anthem in-network providers and to out-of-network providers. If you see an in-network provider, there is no charge for your first three visits, then a $20 copayment. If you choose to see an out-of-network provider, you’ll pay 50% coinsurance and you may need to pay your provider directly for services and submit a claim for reimbursement.
UC Health Savings Plan
UC HSP members have access to Anthem in-network providers and to out-of-network providers.
After meeting the deductible, there is a 20% coinsurance for covered services from in-network providers and a 40% coinsurance for covered services from out-of-network providers. If you choose to see an out-of-network provider, you may need to pay your provider directly for services and submit a claim for reimbursement.
Don’t Miss: Mental Health First Aid Trainer
New Behavioral Health Partner
Beginning January 1, our Members will receive their behavioral health benefits from our new partner Optum. AvMeds clinical staff and Optums expert case managers will collaborate with you and our Members to best coordinate care and ensure a smooth transition.
Members can choose from more than 8,600 experienced, Florida-licensed clinicians for support, including psychiatrists, psychologists, masters-level social workers and other mental health counselors. In addition, Members who may travel or are out of the service area can use Optums online directory to search for quality behavioral health providers.
Optum also offers expanded access to care via a 24/7 hotline and self-service portal, giving
Optum also offers expanded access to
care via a 24/7 hotline and self-service
portal, giving your patients greater access
to care.
your patients greater access to care. Members also have expanded access to Optum through its telehealth services, with nearly 800 providers who offer virtual visits.
Our Member Engagement team is ready to assist if any of your patients have questions. For more information, . Medicare Members can call 1-800-782-8633 October 1-March 31, 8am – 8 pm 7 days aweek. April 1- September 30 Monday-Friday, 8 am- 8pm and Saturday, 9 am-1 pm.
You can also visit:
County Of San Diego Health And Human Services Agency Behavioral Health Fee For Service Provider Directory
The County of San Diego, Health and Human Services Agency Behavioral Health Services administers Children, Youth and Families Behavioral Health Services. This provider directory describes the services currently funded by the County of San Diego through the Fee for Service Network.
Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network.
You May Like: Ct Scan Of Brain Without Contrast
Find A Medicaid Provider
- Member Benefits Overview
- Member Handbook
The Optum Salt Lake County Member handbook offers an overview for members. It is available in English and Spanish. To receive a paper copy of these forms within five business days for free, please call 1-877-370-8953 or email saltlakecounty.networkbox@optum.com.
- Advance Health Care Directives
According to Utah State law, you have the right to make decisions about your medical care with an advance directive. An advance health care directive is a form that explains what you want to happen if you have health problems that cause you not to be able to tell doctors or other people what kind of care you want. A psychiatric advance directive is for mental health care in particular. It describes your choices for future mental health treatment and allows you to choose a trusted person to help with those decisions if needed. It gives you control over your treatment by letting you decide which treatments you do or do not want in the future, in case you are not able to communicate well and with good judgment.
You can go to the National Resource Center for Utah to get information about the Utah law for advance directives . This website also has a form you can use if you want to make your own psychiatric advance directive.
- SLCo Live and Work Well
SLCo Live and Work Well is a website. It offers behavioral health resources to help you.
Does Insurance Cover Therapy In California
Yes, most California health insurance carriers provide mental health benefits that cover therapy. However, the exact amount of coverage will vary based on the plan details and whether the selected provider is in-network or out-of-network with your insurance. If the therapist is in-network with your insurance, youll pay only a copay at each session after meeting your annual deductible. If the therapist is out-of-network with your insurance, you may still be able to receive reimbursement after paying the fee at the time of therapy session. If you have a PPO or POS insurance plan, you can likely receive some reimbursement when you see a therapist out-of-network in California. If you have an HMO, EPO, or Medicaid/Medicare plan, you likely cannot receive reimbursement, and would be responsible for the full out-of-network session fee. Note that services designed to treat topics which are not diagnosed mental health conditions, such as couples counseling and life coaching, are not typically covered by health insurance. The potential mental health provider must also be a licensed therapist in your state for the insurance company to cover services.
You May Like: How To Remove Brain Fog
How Can I Find A Therapist In California Who Sees Clients After Hours
Find a therapist who sees clients after hours on Zencare. Many therapists inCalifornia offer appointments outside of traditional business hours. Simply filter by Office Hours under More Filters to choose the time of day that works best for you, whether that be early morning before work, in the evenings, or even over the weekend. After hours sessions are a good option for busy individuals, couples, and families dealing with hectic schedules and who need a flexible option for their mental health care.
Important Notice For Virtual Visits:
Provider information contained in this directory is updated weekly at a minimum, but may have changed since the last update.
Some benefit plans require prior approval for outpatient services.
- Use the number on the back of your insurance card to confirm benefits and authorization requirements.
For members outside of CaliforniaPlease check with your provider before scheduling your appointment or receiving services to confirm that the provider is participating in our network.Reporting Inaccuracies:Members may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the Report Invalid Info button found on the Providers detail page, calling 1-800-557-5745, or emailing provider_feedback@optum.com
Illinois Only: For IL provider demographic inaccuracies, you may also contact the IL Office of Consumer Health Insurance at 1-877-527-9431
For California Residents
Reporting inaccuracies:California residents may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the “Report Invalid Info” button found on the Provider’s detail page, calling 1-800-999-9585, or emailing provider_feedback@optum.com
Medicaid/Medicare virtual visits notice:
If you have a State Medicaid or Medicare Advantage plan offered by an insurance company virtual visit services are generally not allowed.
Read Also: Meningioma Brain Tumor Frontal Lobe
